Envelopes

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

This envelope contains your official
United States Census 2010 questionnaire.

FOR
The Census Bureau is conducting the Census 2010. To ensure the accuracy of this, it is
important that everyone be counted. Please complete the enclosed census questionnaire.
Put the completed form in this envelope, seal, and:
Return To:

Return By Date:

Thank you for your participation.
Your answers are confidential and protected by law—every Census Bureau employee
has taken an oath and is subject to a jail term, a fine, or both if he or she discloses ANY
information that could identify you or your household. The information you provide
can only be used for statistical purposes. This law also requires you to provide the
information requested (Title 13, United States Code, Sections 9, 141, 193, and 214).
FOR OFFICIAL USE ONLY
D-40 (7-21-2008)

USCENSUSBUREAU

7-21-2008

GQ

PN

DC